Article information
Resumen
La endometriosis es una de las enfermedades más enigmáticas y controvertidas de la ginecología y, por ello, no existe un tratamiento idóneo para la misma, especialmente cuando hay que preservar la fertilidad de la mujer. Las terapéuticas aplicadas a la paciente con endometriosis van dirigidas a suprimir el dolor o a tratar la esterilidad asociada. Sin embargo, la aplicación de los diferentes tratamientos se ha basado con frecuencia en métodos empíricos o en estudios observacionales. El objetivo de este artículo es analizar la evidencia disponible en la bibliografía actual acerca del valor real del tratamiento, tanto médico como quirúrgico, en el manejo de la paciente con endometriosis.
Palabras clave:
Endometriosis
Esterilidad
Medicina basada en la evidencia
Tratamiento médico
Tratamiento quirúrgico
Summary
Endometriosis is one of the most enigmatic and controversial gynecological diseases and consequently an ideal treatment is lacking, especially when fertility must be preserved. The therapies given to women with endometriosis aim to eliminate pain or treat associated infertility. However, the application of the various treatments has frequently been based on empiricism or observational studies. The present article aims to analyze the evidence currently available in the literature on the real value of both surgical and medical treatment in the management of patients with endometriosis.
Keywords:
Endometriosis
Infertility
Evidence-based medicine
Medical treatment
Surgical treatment
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